Individual provider Active NPI

Diana J Page, NPP BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Batavia, NY
National Provider Identifier
1598896128
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401204 Issued in NY
Practice address
5130 E Main Street Rd
Suite 2
Batavia, NY 14020-3433
Phone
(585) 344-1421
Fax
(585) 344-3047
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 271318-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401204 NY Primary

Addresses

Primary practice location

5130 E Main Street Rd
Suite 2
Batavia, NY 14020-3433

Mailing address

5130 E Main Street Rd
Suite 2
Batavia, NY 14020-3433
Phone (585) 344-1421

Other identifiers 2

IdentifierTypeStateIssuer
271318-1OtherNYLICENSE
401204OtherNYNP PSYCHIATRY LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000523 NY Practitioner - Nurse Practitioner 5799822706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Rochester School of Medicine and Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14014 State Route 31
Albion, NY 14411-9301
Phone (585) 589-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
271318-1NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans County Department of Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Orleans County Treasurer Office CurrentSince Oct 1, 2021 Accepting new patients
Mental Health Services-Erie County Northwest Corporation I CurrentSince Mar 1, 2022 Accepting new patients
County of Genesee County Treasurer Past Accepting new patients
Batavia Community Care Center Inc Past Accepting new patients
County of Genesee County Treasurer PastSince Mar 2, 1998 Accepting new patients

Locations

14014 State Route 31
Albion, NY 14411
Phone (585) 589-3292

406 Vulcan St
Buffalo, NY 14207
Phone (716) 871-7092

2495 Elmwood Ave
Kenmore, NY 14217
Phone (716) 882-2127

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1598896128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD",
            "address_2": "SUITE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203433",
            "telephone_number": "585-344-1421",
            "fax_number": "585-344-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD",
            "address_2": "SUITE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203433",
            "telephone_number": "585-344-1421",
            "fax_number": "585-344-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "DIANA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NPP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "271318-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "271318-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP PSYCHIATRY LICENSE NUMBER",
            "identifier": "401204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.